J Korean Soc Endosc Laparosc Surg.
2010 Jun;13(1):6-10.
The Comparison between Laparoscopic Wedge Resection and Open Wedge Resection for Gastric Gastrointestinal Stromal Tumors
- Affiliations
-
- 1Department of Surgery, Postgraduated School of Medicine, Pusan National University, Busan, Korea. dh2-kim@hanmail.net
- 2Department of Internal Medicine, Postgraduated School of Medicine, Pusan National University, Busan, Korea.
- 3Department of Pathology, Postgraduated School of Medicine, Pusan National University, Busan, Korea.
Abstract
- PURPOSE
A laparoscopic wedge resection is increasingly being used for gastrointestinal stromal tumors of the stomach. The aim of this study is to evaluate the safety and the feasibility of laparoscopic wedge resection compared to conventional open wedge resection.
METHODS
Fifty-six patients who underwent laparoscopic wedge resection (LW group, n=32) or open wedge resection (OW group, n=24) for gastric submucosal tumor, between January 2005 and December 2007, were enrolled in this retrospective study.
RESULTS
here were no significant differences in the patients' clinicopathological datas between the two groups. Although there were no significant difference in the operation time and the postoperative morbidity, the time to the first oral intake (1.2+/-1.5 vs. 1.5+/-0.6 days, p=0.015), the duration of hospital stay (3.4+/-0.7 vs. 5.5+/-0.8 days, p<0.001), and the number of analgesic use (2.2+/-0.9 vs. 4.0+/-1.2 times, p<0.001) were shorter or lower in the LW group than in the OW group. Among the LW group, three patients with endophytic growth pattern underwent intraoperative gastroduodenoscopy to identify the precise location of the tumor.
CONCLUSION
Laparoscopic wedge resection is a safe and feasible treatment option for gastrointestinal stromal tumors. In addition, appropriate approach should be utilized according to the size, the location, and the growth pattern of the tumor.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Comparison of Clinical Characteristics between Open and Laparoscopic Surgery Groups in Gastric Gastrointestinal Stromal Tumor Patients
- Laparoscopic Gastric Wedge Resection and Prophylactic Antireflux Surgery for a Submucosal Tumor of Gastroesophageal Junction
- Laparoscopic Wedge Resection of GISTs Involving the Second Portion of the Duodenum
- The Single Incision Laparoscopic Intragastric Wedge Resection of Gastric Submucosal Tumor
- Factors Affecting the Length of Hospitalization after Laparoscopic Resection of Gastric Subepithelial Tumor
